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Published on: February 19, 2021
The what, when, and why of implementation frameworks for evidence-based practices in child welfare and child mental
Rochelle F Hanson1, Shannon Self-Brown2, Whitney L Rostad3
1National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Insights
Implementing evidence-based practices (EBPs) is crucial for child welfare. This paper reviews frameworks to improve EBP success in preventing child maltreatment and supporting affected youth.
Area of Science:
- Child welfare research
- Implementation science
- Public health
Background:
- Children in the child welfare system face significant risks from abuse and neglect.
- Evidence-based practices (EBPs) are vital for preventing maltreatment and mitigating negative mental health outcomes in these youth.
- Current EBPs have limited reach, highlighting implementation challenges.
Purpose of the Study:
- To review existing implementation frameworks for EBPs in child welfare.
- To discuss selection criteria for these frameworks.
- To provide recommendations for practice and policy.
Main Methods:
- Conceptual paper synthesizing existing literature.
- Review of implementation frameworks relevant to child welfare.
- Analysis of factors influencing EBP implementation.
Main Results:
- Limited research exists on selecting frameworks for child welfare EBPs.
- Theory-driven frameworks can guide implementation planning and enhance success.
- Successful implementation requires careful consideration of chosen frameworks.
Conclusions:
- Selecting appropriate implementation frameworks is critical for maximizing the impact of EBPs in child welfare.
- Recommendations are provided for professionals and systems serving maltreated youth.
- Further research is needed to guide framework selection for specific child welfare interventions.
Abstract:
It is widely recognized that children in the child welfare system are particularly vulnerable to the adverse health and mental effects associated with exposure to abuse and neglect, making it imperative to have broad-based availability of evidence-based practices (EBPs) that can prevent child maltreatment and reduce the negative mental health outcomes for youth who are victims. A variety of EBPs exist for reducing child maltreatment risk and addressing the associated negative mental health outcomes, but the reach of these practices is limited. An emerging literature documents factors that can enhance or inhibit the success of EBP implementation in community service agencies, including how the selection of a theory-driven conceptual framework, or model, might facilitate implementation planning by providing guidance for best practices during implementation phases. However, limited research is available to guide decision makers in the selection of implementation frameworks that can boost implementation success for EBPs that focus on preventing child welfare recidivism and serving the mental health needs of maltreated youth. The aims of this conceptual paper are to (1) provide an overview of existing implementation frameworks, beginning with a discussion of definitional issues and the selection criteria for frameworks included in the review; and (2) offer recommendations for practice and policy as applicable for professionals and systems serving victims of child maltreatment and their families.
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